CALIFORNIA STATE UNIVERSITY, LONG BEACH DEPARTMENT OF PSYCHOLOGY MASTER OF ARTS, OPTION IN PSYCHOLOGICAL RESEARCH APPLICATION FOR ADMISSION Section 1: Student Information Name _ CSULB ID # Last First Middle Previous Name(s) Address Street City State Zip code Home Phone _ _ Work _ _ Cell E-Mail _ Do you claim California residency? Yes No If not, please list other U.S State or country: _ Section 2: Application Information Name of School Academic Years Attended Major Degree and Year Earned Please note – Official transcript for Bachelor’s Degree-granting institution must be: Mailed to: CSULB Enrollment Services Office 1250 Bellflower Blvd Long Beach, CA 9080-0106 Sent Electronically: or ES-IDPTrans@csulb.edu Upload unofficial transcripts from all other schools attended where Psychology courses were taken to Cal State Apply If this involves more than four institutions, please combine them into one document Academic Honors and Awards (Include Societies & Scholarships) List any Special Academic Projects and Publications Section 3: Written Prompts Address the following prompts in 300-500 words each Number your responses Save as a separate document and upload it to the section labeled “Essay” on the Cal State Apply Website What are your academic and professional objectives (if you are interested in pursuing a Ph.D., please indicate the desired field)? Please state how the MAPR program at CSULB will help you achieve these objectives Please describe your research interests Additionally, identify up to three CSULB Psychological faculty members you would like to research with (please refer to the MAPR Faculty Mentor List) and elaborate on why you selected each faculty mentor Please describe your past research experiences (these may be in or outside of the classroom) We would also like to know what you learned from those experiences Please tell us something you are proud of in your academic or personal life and why Rank the order of the top three CSULB Psychological faculty members with whom you would like to research below (please refer to the MAPR Faculty Mentor List) Include in your Essay an elaboration on the faculty mentor choices you indicated below: Name of Faculty Area of Research General area(s) of Research interest (e.g., Clinical, Social, etc): _ If there are no positions in the labs of the faculty members that you listed above, would you consider working with another faculty member: Yes _ No _ Optional: Save as a separate document and upload it to the section labeled “Other” on the Cal State Apply Website Is there anything else about your preparation for a graduate program that you wish us to consider? For example, you may wish to elaborate on any special personal situations you have encountered during your studies (e.g., first-generation college student, working long hours while attending school, financial hardship) and discuss how these experiences have affected your academic opportunities Additional Instructions: Carefully read the information on the MAPR Checklist regarding materials to be submitted and note due dates Selection committees will only make decisions on completed files